Do I still need to have a hysterosalpingogram in this case?

Patient's question:

I've been divorced from my spouse for nearly two years now. My spouse is undergoing training in the military, so I can only visit them three to four times a year. My spouse and I have been preparing to have a child since June 2010, but we've tried twice and haven't succeeded. In January 2011, we underwent thorough medical examinations together, and my spouse was diagnosed with oligospermia. My test results are still pending, but the doctor has recommended I have a hysterosalpingogram. I've never had any surgery before and don't have a history of miscarriage—could I have blocked or partially blocked fallopian tubes? Should I undergo the hysterosalpingogram?

Doctor's answer:

Childbirth is a complex physiological process. The essential conditions for conception are:
1. Normal ovarian function, releasing healthy eggs.
2. Normal sperm and seminal fluid from the male.
3. Sperm and egg fusion in the fallopian tubes, and the fertilized egg can properly implant in the uterine cavity.
4. Sufficient preparation of the endometrium, capable of supporting the growth and development of the fertilized egg.
Any abnormality in any of these stages can lead to infertility. If there are abnormalities in conception conditions, such as female fallopian tubes/ovaries menopause/uterus and endometrium, or male sperm and seminal fluid quality, early treatment should be sought.

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